Fuller Homes LLC

NPI #1780108639 in Harvest, Alabama

Provider Information

NPI Number
1780108639
Entity Type
Organization
Organization Name
Fuller Homes LLC
Primary Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Aug 2, 2017
Last Updated
Aug 2, 2017

Practice Location

Address
102 POPULUS DR
State
Alabama
ZIP Code
35749-4802
Phone
(256) 221-0041

Authorized Official

Name
YVETTE RENEE FULLER, LPN
Title
EXECUTIVE DIRECTOR/ AGENCY NURSE
Phone
(256) 221-0041

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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